Minnesota Medicaid Dental Coverage Guide
Minnesota Medicaid Dental Coverage Guide: verify the Minnesota authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
Minnesota Medicaid Dental Coverage Guide: verify the Minnesota authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. Minnesota Medicaid pays a dentist $52.51. Minnesota Medicaid pays a dentist $24.20.
What this page recommends
Minnesota Medicaid Dental Coverage Guide: verify the Minnesota authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
- Next step: Find a Provider
What should I verify before acting?
Verify the local workflow, provider fit, pricing details, and timing directly through the canonical guide or a qualified professional before making a decision.
Related decision paths people also use
These are nearby ways people describe the same decision before they move into local comparison, pricing, or urgent next-step mode.
Minnesota Medicaid dental reimbursement rates on this page are taken from Minnesota Health Care Programs (MHCP) Fee Schedule, published by Minnesota Department of Human Services, and retrieved 2026-08-26. Minnesota Health Care Programs fee schedule, Revised 12/23/25; each code carries its own effective date for the current total allowable. Every amount shown is what the state pays a dental provider for the procedure. It is not a price a patient pays, and self-pay and insured prices are typically far higher. Minnesota operates a comprehensive adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
Minnesota Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What Minnesota Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | Minnesota Medicaid pays a dentist $52.51 | State reimbursement, see the schedule for per-code effective dates |
| Periodic oral exam (CDT D0120) | Minnesota Medicaid pays a dentist $24.20 | State reimbursement, see the schedule for per-code effective dates |
| Root canal, molar tooth (CDT D3330) | Minnesota Medicaid pays a dentist $537.37 | State reimbursement, see the schedule for per-code effective dates |
| Extraction, erupted tooth (simple) (CDT D7140) | Minnesota Medicaid pays a dentist $88.51 | State reimbursement, see the schedule for per-code effective dates |
| Comprehensive oral exam (CDT D0150) | Minnesota Medicaid pays a dentist $31.54 | State reimbursement, see the schedule for per-code effective dates |
| Cleaning (prophylaxis), child (CDT D1120) | Minnesota Medicaid pays a dentist $36.31 | State reimbursement, see the schedule for per-code effective dates |
| Fluoride varnish (paediatric preventive) (CDT D1206) | Minnesota Medicaid pays a dentist $27.72 | State reimbursement, see the schedule for per-code effective dates |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | Minnesota Medicaid pays a dentist $34.25 | State reimbursement, see the schedule for per-code effective dates |
| Amalgam filling, one surface (CDT D2140) | Minnesota Medicaid pays a dentist $64.49 | State reimbursement, see the schedule for per-code effective dates |
| Composite filling, one surface, posterior (CDT D2391) | Minnesota Medicaid pays a dentist $64.49 | State reimbursement, see the schedule for per-code effective dates |
| Root canal, anterior tooth (CDT D3310) | Minnesota Medicaid pays a dentist $353.53 | State reimbursement, see the schedule for per-code effective dates |
| Root canal, premolar tooth (CDT D3320) | Minnesota Medicaid pays a dentist $424.23 | State reimbursement, see the schedule for per-code effective dates |
| Complete denture, upper (CDT D5110) | Minnesota Medicaid pays a dentist $939.41 | State reimbursement, see the schedule for per-code effective dates |
| Complete denture, lower (CDT D5120) | Minnesota Medicaid pays a dentist $949.53 | State reimbursement, see the schedule for per-code effective dates |
| Bridge pontic, porcelain fused to high noble metal (CDT D6240) | Minnesota Medicaid pays a dentist $810.53 | State reimbursement, see the schedule for per-code effective dates |
| Bridge retainer crown, porcelain fused to high noble metal (CDT D6750) | Minnesota Medicaid pays a dentist $810.53 | State reimbursement, see the schedule for per-code effective dates |
| Surgical extraction, erupted tooth (CDT D7210) | Minnesota Medicaid pays a dentist $121.20 | State reimbursement, see the schedule for per-code effective dates |
Ready to compare providers?
Use the source-backed framework above, then continue to the matching provider destination.
Verify the rule before acting
- State Medicaid and CHIP Profiles — State-specific Medicaid and CHIP program profile; reviewed 2026-08-26
- Dental Care — Federal dental benefit requirements and state-option context; reviewed 2026-08-26
- Dental Licensure by State — State dental board and licensure pathway discovery; reviewed 2026-08-26
- Minnesota Health Care Programs (MHCP) Fee Schedule — Official Minnesota Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- Minnesota Medicaid adult dental benefit scope — Minnesota's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
Minnesota publishes its Medicaid dental reimbursement rates in Minnesota Health Care Programs (MHCP) Fee Schedule. Those rates are what Minnesota Medicaid pays a dental provider for each procedure, and they are not prices a patient pays. A self-pay or insured price for the same procedure is normally much higher, so a Minnesota reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what Minnesota Medicaid will pay a dentist who accepts it. The figures on this page were retrieved 2026-08-26.
Quick checklist
- Name the exact Minnesota decision and the date that could change it.
- Select Minnesota in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Save the source URL, page title, and review date in your notes.
- Compare provider scope and written terms before using Find a Provider.
Red flags
- A stale screenshot used as the only evidence
- No distinction between federal and Minnesota requirements
- A recommendation based only on advertising position
Adult and child dental benefits are set differently in Minnesota. Children's dental coverage is federally required under EPSDT, so every state must cover medically necessary dental care for eligible children. Adult dental coverage is a state option, which is why it varies so sharply. Minnesota operates a comprehensive adult dental benefit for adults aged 21 and over. In the state's own words: "Medical assistance covers medically necessary dental services." Confirm your own category before booking, because Minnesota eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Identify the person, service, and jurisdiction involved in Minnesota.
- Select Minnesota in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Minnesota-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A generic fifty-state chart replacing Minnesota primary material
- No license or designation verification
- Pressure to act before written terms are supplied
For “What should I confirm before booking Medicaid dental care in Minnesota?,” Treat Medicaid.gov’s Minnesota profile and the current Minnesota Medicaid dental program materials as the source-of-record pathway for this Minnesota question. The source review should produce a dated note covering child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. When facts or timing could change the answer, take the source record to a qualified provider.
Quick checklist
- Identify the person, service, and jurisdiction involved in Minnesota.
- Select Minnesota in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Minnesota-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A generic fifty-state chart replacing Minnesota primary material
- No license or designation verification
- Pressure to act before written terms are supplied
For “How do prior authorization and managed-care rules affect Minnesota dental access?,” Before relying on a Minnesota summary, confirm the issue through Medicaid.gov’s Minnesota profile and the current Minnesota Medicaid dental program materials. Record the source date and verify child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. After the source check, Find a Provider routes you to the relevant local directory or service path.
Quick checklist
- Identify the person, service, and jurisdiction involved in Minnesota.
- Select Minnesota in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Minnesota-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A Minnesota claim with no source date
- A provider who will not identify the governing authority
- A price, deadline, or eligibility statement presented as universal
For “When should I use Find a Provider for Medicaid dental care in Minnesota?,” Before relying on a Minnesota summary, confirm the issue through Medicaid.gov’s Minnesota profile and the current Minnesota Medicaid dental program materials. Record the source date and verify child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. After the source check, Find a Provider routes you to the relevant local directory or service path.
Quick checklist
- Write the Minnesota question in one sentence.
- Select Minnesota in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Check the exception, eligibility category, or license status that applies.
- Route to the canonical provider destination with the verified facts in hand.
Red flags
- A Minnesota claim with no source date
- A provider who will not identify the governing authority
- A price, deadline, or eligibility statement presented as universal
Need help applying this guide?
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